Healthcare Provider Details

I. General information

NPI: 1720009624
Provider Name (Legal Business Name): PASCO EMERGENCY PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 FORT KING RD EMERGENCY DEPARTMENT
DADE CITY FL
33525-5294
US

IV. Provider business mailing address

861 SW 78TH AVE SUITE #100B
PLANTATION FL
33324-3273
US

V. Phone/Fax

Practice location:
  • Phone: 352-521-1100
  • Fax:
Mailing address:
  • Phone: 954-693-0000
  • Fax: 954-693-0005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SCOTT SCHILLINGER
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 800-815-8377